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The Assuring Medicare's Promise Act of 2025 amends the tax code to direct net investment income tax revenues to the Medicare Hospital Insurance Trust Fund and expands the net investment income tax to apply to business income of high-income individuals. Specifically, it includes Section 1411 net investment income tax in the Hospital Insurance Trust Fund starting in 2026, and applies the 3.8% net investment income tax to trade or business income for individuals earning over $400,000 ($500,000 for joint filers). The bill also clarifies what income counts as net investment income and includes certain foreign income in the tax base.
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